ANTONIO MORENO
NPI 1154984706
Nurse Anesthetist, Certified Registered in San Bernardino, CA
About Antonio Moreno NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANTONIO MORENO (NPI 1154984706) is an individual nurse anesthetist, certified registered in San Bernardino, California, licensed in California (95001104) and active in the NPI registry since April 2019. He maintains a secondary practice location in Palm Desert and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Antonio Moreno is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Antonio Moreno reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Bernardino, CA 92404
- Reassigned Medicare billing, California enrollment
- 270 clinicians in this Medicare group
San Bernardino, CA 92404
- Reassigned Medicare billing, California enrollment
- 2,584 clinicians in this Medicare group
Santa Ana, CA 92705
- Reassigned Medicare billing, California enrollment
- 40 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN BERNARDINO, CA 92404
SAN BERNARDINO, CA 92404
SAN BERNARDINO, CA 92404
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Antonio Moreno's NPI number?
The NPI number for Antonio Moreno is 1154984706. It was assigned to this individual provider in the NPPES registry on April 18, 2019.
Where is Antonio Moreno located?
Antonio Moreno practices at 2101 N Waterman Ave, San Bernardino, CA 92404. The listed phone number is (909) 883-8711.
What is Antonio Moreno's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Antonio Moreno enrolled in Medicare?
Yes. Antonio Moreno is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Antonio Moreno's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Antonio Moreno reassigns Medicare benefits to 3 organizations: Palm Springs Anesthesia Services, PC (San Bernardino, CA), Faculty Physicians And Surgeons Of Llusm (San Bernardino, CA) and San Gabriel Anesthesia Associates, PC (Santa Ana, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Antonio Moreno's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Antonio Moreno was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Antonio Moreno · NPI 1154984706
Nurse Anesthetist, Certified Registered physician in San Bernardino, California. Individual provider, active in the CMS NPPES registry since April 18, 2019.
## Identity
- **NPI:** 1154984706 (Entity type: Individual)
- **Enumerated:** April 18, 2019
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 95001104 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2101 N WATERMAN AVE, San Bernardino, CA 92404-4836
- **Phone:** (909) 883-8711
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Palm Springs Anesthesia Services, PC (NPI 1083928501, San Bernardino, CA); Faculty Physicians And Surgeons Of Llusm (NPI 1588273148, San Bernardino, CA); San Gabriel Anesthesia Associates, PC (NPI 1538424908, Santa Ana, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** January 31, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1154984706) · Data from the CMS NPPES public registry.